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Market Snapshot - Individual Medical

Company (State of Domicile) NAIC# Number Insured1 Market Share
  12/31/123 12/31/134 12/31/12 12/31/13
Companies Currently Offering Coverage:
Anthem BC/BS (Maine) - 52618        
- PPO 16,725 18,337 52% 56%
- HMO Maine2 13 12 0% 0%
Mega Life & Health (OK) 97055 11,750 10,733 36% 33%
HPHC 18975 4,524 3,627 11% 11%
Aetna Health (Maine) 95517 25 37 0% 0%
Harvard Pilgrim (MA) 96911 2 2 0% 0%
Subtotal 33,039 32,748 99% 100%
Companies Renewing but Not Offering New Coverage:
AXA Equitable Life 62944 65 55 0% 0%
Prudential (NJ) 68241 52 44 0% 0%
Washington National (IL) 70319 48 0 0% 0%
American Republic (IA) 60836 36 0 0% 0%
Metropolitan Life 65978 28 24 0% 0%
Golden Rule (IL) 62286 23 0 0% 0%
Other 13 11 0% 0%
Subtotal 265 134 1% 0%
TOTAL 33,304 32,882 100% 100%
1 Unavailable data is estimated and shown in bold.
2 HMO Maine is a line of business of Anthem Blue Cross and Blue Shield.
3 Yearly totals for Number Insured reflect actual counts from the 940 reports and may differ slightly from financial statement data.
4 Figures for HPHC come from Dirigo Health website. Figures for MEGA come from their latest rate filing. All others come from quarterly filings to the NAIC.

 

Recent Rate Increases
Company Average
Increase
Number
Affected
Effective date SERFF Tracking Number1
Anthem
12.6% 8,582 lives 1/1/2014 AWLP-129155589
12.6% 18,518 lives 1/1/2014 AWLP-129316190
2.4% 16,738 lives 7/1/2013 AWLP-128965727
Central United Life
12.0% 1   2/1/2012 CEUL-127709884
Harvard Pilgrim
6.7% 2 lives 11/1/2013 HPHC-129169051
HPHC (Dirigo Choice)
4.7% 1,270   7/1/2013 HPHC-1289977192
-1.7% 787 contracts 4/1/2013 HPHC-128880307
-8.8% 909 contracts 1/1/2013 HPHC-128747043
HPHC (Standardized)
7.1% 2 lives 12/1/2012 HPHC-128710058
MEGA
67.0% 1 live 1/1/2014 MGCC-129028861
3.25% 10,733 lives 12/31/2013 MGCA-129217435
6.5% 12,635 lives 3/1/2013 MGCA-128251458
Metropolitan
9.9% 26   3/1/2011 HUMA-127830972
1 To link to SERFF to view filings, go to .http://www.maine.gov/pfr/insurance/PPACA/HFAI.htm#. Under The Health Filing Access Interface (HFAI), select "Click here to Search Public Filings." You must first agree to the terms of use. Then on the search screen enter a SERFF Tracking Number (displayed above) in the Tracking Number field and click on the Search button. Details about the filing will appear and you can click on the "View Filing" link on left side to see the actual filing.

 

Pending Rate Increases
Company
Average
Increase
Number
Affected
 
Effective Date
 
None
         

Source: Bureau of Insurance

Last Updated: March 11, 2014